|
<br />NOl1~J1JEm'~~~:~:::~od :~:$ :~:::=:~~w'deed'm~'
<br />
<br />, Wh, lell may !>9 more r~&trlctlVe.than,county. reg,utal,iDns, The nde, telgned atsumo&, re6pon$lblli~'fot.compllance witheny .
<br />applicable (lead ...~t.rlctionG.' . ' ,'" ' , - ' , '
<br />'1,lNI.ICEN$,BD 'CONTAACTOR~ 'AND CONTRActOl' R1!~SIBI~mES; If ilia '-ownsr h.. 'hlre~ 8 co.nIrllctor or
<br />~ W lIIIdllfia"" \Yl>ri<. lh8Y may bs <equiiea to b. Ii.,..ed in accordan"" ."llh .\fI1e .nd Iocol regulation.. ,Ii the.
<br />_. :~ oon~'1,s nDt \ll;tilnse~ 88 rcqui~d by t8W.,~Ottl. the ,own~l'\d'~Qntractor:ma~ be cited for i1,mlsde!TIeanof vlol~t!on
<br />, under 8tate law. If thij oWner or iT)t(tndecl' contn1Otor are UR ,In Ba to:Whet llcen6ing t:equirement& m.y apply for the- , '
<br />.1nief\dIlIl-, they ... ~10 _ tho _ CoUnlY "<ling Ii1apecI1on ~.Inii SecIion al721~1' " .
<br />... 80119, F~; Ii tho . ciIinot two hinld......."" or oonl/!lCllJnl..1It Jo aclI(Ialld \0. hlMl'Iho~')' otgn
<br />pOriIonS or ,tho '.._r B1ll1ll<' .ot-\tll. ~ tot WhIG theY will be ...pomoJbIe. . K..jOU. .. iha .bWnor oIgn." "'" '
<br />. ~' rm may be 00 ","I\OIlIkin\liit 119 Is not pnJIlOIIY~' ,~~ed ,find is, not entltJe~'~ ,permitt1n9,;prIV!le(les i~ Pasco
<br />
<br />.CONS1RucmoN UEIUAW (C/lapter71~ FI,;,w,. siatut' ,.. ........1'.. Ii ~aIuoIion. 01 I'I\lIkJo,$2.500.00 or moie.1 ,
<br />c:etllfV lhot! I. t\u>.ppllolU\l. I\lN" boon provldecl willl a . py <if lI10 'FlOtilla ~n .LIBn ~.o'
<br />P.roteotiollQulda'~ 'prepared by the Ronda Department of lA~cu\ture and Consumer .Affatrs. If the. 8Ppltcant is iomeone
<br />, ot~ar than ~t1,8 "owner''. Ice" rtify thgt.I, ,have obta,lned a COPY. of he abo~ diSCFlbe, d document ~~d pron'ti~e.'tn go~ faitQ to
<br />, deliver it to ~the ~oWner'l prior to commencement. . ' " , .' , . ' .'
<br />,_ I CONTAACTOR'SIOWNt:It'S AFFtOA\tIT: . 'I' cert that all the information in thiS applioatlon is acourate 'and "
<br />, " ,1 that all work will be done in compliance with' al applicable-, laws regl,l,lpting construc\lon, z.oning end land ,
<br />" .' i da\I8k1llmant. APpIIoaUon ,1~.1taI<lbY mi\lB to o'bt n a pl!rm~\o ~ work.nd inota!I~U./I!l!llod1"led"l cortIIY '
<br />that no w()rk or in6tallatlQn'ha& ~mmenced 'P.,.i~r 0 Isauance Qf a permit and thatall work wm be p,8rformB~ to" '
<br />: meetsb;ind~rdaof all laws regulating con~\tuQt n, Counw and 9ity cQde9, '.zonlng regulations, and land
<br />, . \development mgula\lom;,in the jur\&dlctiofl. 1$0' oertlfy that I'understand that the regulaUons of otl:le~,
<br />. I gcy~nm.nt "9e,l'd1es In~. apply 10 \t).ln~ded ark, Md Ihallll' my ro,ponslbi'IYjO Idel\\lfY ""at aCIIorts I.
<br />I must take to lie 10 coMpllanoe.. .' ' " . " ,.' . ," "
<br />~ lam 11)8 ~'POR 1H~ OWNER; I.proml~ In gcod fall to infurm the 'It'""r 01 th..p.r",lUnu co"diIIoh. ~ai.forih In, ..
<br />. ~ eIIldf4,P1lor 10 ~....,vuo\ton, lundarstMd ihat. ..per".ll8f1l1ft may bo. roqulllld (or e1l!C\l\cal work.
<br />. p~ ligne. wells. pool" air ....-.unv. 'lIO' or other illStoIIalIonOnot opeoi1II:aIIY In.luil;.!: th the ilPPlI/;o\Itln. A
<br />. pOmIII ,..uad lhoII be """""""" to bo . _ to _od Itn t\u> _ ard '"*.. ~ lti.IQ\..... 00"""" ~lor. or
<br />HI oakhi "l'Y pnwtotono ol.ll1O.1idm1a;l! <Oil... nor 111oII1HU .... 010 petfllil pTOY8nt ... BUII4lln9 OIII!:loI !tom \herotIltBr
<br />requlrlng B paf!'8CUon of '8rro, .r~ in plana, GOostnJclion or ViO, kit' n8 of any codes-, ' ~ery perm,lt Issued shall become Invalid
<br />...... thl>l""'" _rIZsd by iueh ~ i. """""""" \VI hln '"' l1IOI1t\)o 0I.P'f1"1l1at_. or W .,or!< I\IlI1OItZ8d by.
<br />tho parmlt II' .u"iandod'ol' oban<lol\Od lor e,perio\I 01 oix.16) on\II$ _ th. - tho work 10 oommoneo=d. No OlCt8llSton
<br />may be requested. 'n writlngl from, the Building Official for a eriod not to eltceec1nlnely (gO) days andV'!ilI,demQf'\Btra~e
<br />ju~tiflable cause for the axtenslDh. tf:worn ooBses forninew ( OJ confieculive days, the job Is conGlder~d jpundoned.
<br />
<br />W~Nu.GI1o"~ . VouRjo~ TORci:ORri'~ N~~ Of COWl_~NTMAY RE$O~T IN. VOUR
<br />. pAVING TWICE l'llR llIPROYaolENT\! 'TO YOUR I'l\Ol>I! TV.' IF VOU1lITEIID 10 OIlTJuNflNANCilill, CONSULT
<br />Inf 0 LI: DER 0 .'N AltO Y EFOR CO N YO TI E OF COM liNea ENT.
<br />P\-ORlqA JURAT (F.o.117.0:.:l' , ,
<br />I ./" ..
<br />, .OWNER o~AGJ!Nt .', ~. -. cON RAc:'fOlt . .
<br />~~~ ..om to cor o"""''''~... :J!e';"<::l'! ~Io 1.,0-) iofor. m.'"
<br />, " ' j~r&_ nallY. tomicirhAltlaI/.PfoCl~od, ,.' -,' .'.V,Vnol iltflPip'50naIIYk1l~\Omcor;ha&/tla\lep'roducecl .
<br />\ l ,\ . , sa id$l\t1ncation " " , . " ' 8!lldon!lfklal101\.' "
<br />,>,~~,," ,,',.."',".'.".,.,':,:."
<br />
<br />.: ,~':!.~ . .~:_p~ ,: . '. . '. ~p....,
<br />- V f"" " ."" ,;.
<br />'\ . . Cclntml&.~ ',. . '.', ,;... . '. ~ l)I\No. ..
<br />" .' L\'<:.Y-:\ ...::t\_.' .,,:., -.:.,'('". " ,'. : ." ' " ,." , '
<br />.,'" " '~'l.' \ne(\l'l\~' , ,'~ "', " ' ' . . ,
<br />,,' Na{lleofN4"fY~' Prln~.or~~ ' " , am NotaIY\YPed,Pii\Wo,,,,mped,
<br />
<br />
<br />
<br />~ 11IBIISToS
<br />....... NIle ~ NIIOnI
<br />Martc:aPa'~ "
<br />~ 04/.301201.1
<br />
<br />
<br />..
<br />
<br />. ' .' ' " '
<br />This fax was re~eived by GFI FAX k' f ' , .
<br />. ma er ax server. For more information, visit: http://www.~fi.com
<br />
|